Mainline Health Systems, INC
NPI #1326586173 in Lake Village, Arkansas
Provider Information
- NPI Number
- 1326586173
- Entity Type
- Organization
- Organization Name
- Mainline Health Systems, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Feb 1, 2017
- Last Updated
- May 15, 2025
Practice Location
- Address
- 360A W HIGHWAY 82
- City
- Lake Village
- State
- Arkansas
- ZIP Code
- 71653-7501
- Phone
- (870) 201-2127
Authorized Official
- Name
- GARY ALLAN NICHOLS
- Title
- CEO
- Phone
- (870) 942-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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